在和智力障碍患者的骨密度查
Revital Gandelman-Marton1, Jacques Theitler1
1Revital Gandelman-Marton and Jacques Theitler, Neurology Department, Shamir-Assaf Harofeh Medical Center, Zerifin, and Faculty of Medicine, Tel Aviv University, Israel.
American journal on intellectual and developmental disabilities
|October 28, 2024
概括
患有和智力障碍 (EID) 的人,尽管服用维生素D补充剂较高,但骨密度查率较低. 提高对EID骨健康监测的认识,对于预防伤害至关重要.
科学领域:
- 神经学 神经学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 骨健康并发症是和智力障碍患者的一个担忧.
- 建议包括维生素D测量和DXA扫描,以防止与骨相关的问题.
- 关于目前对这一脆弱人群的查实践的数据有限.
研究的目的:
- 评估与患有但没有智力障碍的对照组相比,和智力障碍 (EID) 患者中维生素D补充剂和骨矿物密度查的患病率.
- 为了确定这些群体之间骨健康监测的差异.
主要方法:
- 进行了一项病例控制研究,涉及68名EID患者和68名匹配对照.
- 收集的数据包括维生素D补充状态,骨矿物密度查 (DXA扫描) 和抗药物 (AED) 治疗方案.
- 统计分析比较了EID和对照组之间的查率和补充.
主要成果:
- 在EID组中,没有人接受DXA扫描,而对照组的11.8%接受了DXA扫描.
- 在EID群体中,维生素D补充剂的使用率较高.
- 患有EID的个体接受了更多的AED和组合疗法,包括第一代AED.
结论:
- 在患有EID的个体中,骨矿物密度查的使用显著不足.
- 尽管维生素D补充剂的摄入量较高,但骨健康监测在这个人群中是不充分的.
- 对于患者,特别是同时患有智力障碍的人来说,迫切需要提高骨健康查协议的认识和实施.
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